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Evaluation of dose-area product of common radiographic examinations towards establishing a preliminary diagnostic reference levels (PDRLs) in Southwestern Nigeria.

ABSTRACT: In Nigeria, a large number of radiographic examinations are conducted yearly for various diagnostic purposes. However, most examinations carried out do not have records of doses received by the patients, and the employed exposure parameters used are not documented; therefore, adequate radiation dose management is hin-dered. The aim of the present study was to estimate the dose-area product (DAP) of patients examined in Nigeria, and to propose regional reference dose levels for nine common examinations (chest PA, abdomen AP, pelvis AP, lumbar AP, skull AP, leg AP, knee AP, hand AP, and thigh AP) undertaken in Nigeria. Measurement of entrance surface dose (ESD) was carried out using thermoluminescent dosimeter (TLD). Measured ESDS were converted into DAP using the beam area of patients in 12 purposely selected hospitals. Results of the study show that the maximum/ minimum ratio ranged from 3 for thigh AP to 57 in abdomen AP. The range of determined mean and 75th percentile DAPs were 0.18-17.16, and 0.25-28.59 Gy cm2, respectively. Data available for comparison show that 75th percentile DAPs in this study (in chest PA, abdomen AP, pelvis AP, lumbar AP) are higher than NRPB-HPE reference values. The DAP in this study is higher by factor of 31.4 (chest PA), 9.9 (abdomen AP), 2.2 (pelvis AP), and 2.1 (lumbar AP) than NRPB-HPE values. The relative higher dose found in this study shows nonoptimization of practice in Nigeria. It is expected that regular dose auditing and dose optimization implementation in Nigeria would lead to lower DAP value, especially in abdomen AP. The 75th percentile DAP distribution reported in this study could be taken as regional diagnostic reference level in the Southwestern Nigeria; however, a more extensive nationwide dose survey is required to establish national reference dose.

SUBMITTER: Jibiri NN

PROVIDER: S-EPMC5690520 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature

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Evaluation of dose-area product of common radiographic examinations towards establishing a preliminary diagnostic reference levels (PDRLs) in Southwestern Nigeria.

Jibiri Nnamdi N NN Olowookere Christopher J CJ

Journal of applied clinical medical physics 20161108 6

In Nigeria, a large number of radiographic examinations are conducted yearly for various diagnostic purposes. However, most examinations carried out do not have records of doses received by the patients, and the employed exposure parameters used are not documented; therefore, adequate radiation dose management is hin-dered. The aim of the present study was to estimate the dose-area product (DAP) of patients examined in Nigeria, and to propose regional reference dose levels for nine common examin ...[more]

PMID: 27929511

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Project description:BackgroundIncreased growth of industrial activities, especially in urban centers, is one of the main sources of toxic substances in Nigeria. The level of these impacts is not well known. Soil and sediment samples from one such industrial area were examined for their mineralogical composition and heavy metals contents in order to assess the level of contamination and potential ecological risk status.MethodsMineralogical composition of the media and their heavy metals concentrations were determined using X-ray diffractometry and inductively coupled plasma-mass spectrometry methods, respectively. Ecological risk assessment was carried out using single (contamination factor, geo-accumulation index, enrichment factor) and multi-elemental (contamination degree, pollution index and modified pollution index) standard indices.ResultsThe average heavy metal concentrations in soils and sediments followed the order magnesium (Mn) > chromium (Cr) > lead (Pb) > copper (Cu) > cadmium (Cd) > cobalt (Co) > nickel (Ni), with corresponding values for soils and sediments of 324.3, 79.9, 66.1, 40.7, 14.3, 9.1, 6.8 mg kg-1 and 266.8, 78.6, 40.6, 39.8, 12.9, 8.4, 4.6 mg kg-1, respectively. Principal component (PC) analysis of the results indicated three main sources of metals (industrial, vehicular activities and geogenic input). Evaluated contamination factor (Cf), enrichment factor (Ef) and geo-accumulation index (Igeo) revealed very high contamination for Pb, Cd and Cu in all of the samples, with calculated pollution index (PI) and modified pollution index (MPI) revealing that all the samples were severely polluted. Calculated potential ecological risk factor (ERi) within the industrial area demonstrated a strong potential ecological risk for Cd, Pb and Cu.ConclusionsActivities in the industrial area have affected the quality of the analyzed environmental media, with possible detrimental health consequences. Regular environmental monitoring of the industrial area and the formulation of appropriate policies that support reduction of contamination are strongly recommended. However, due to the limitations of comparing site samples with a single control sample in this work, further study is recommended to compliment this preliminary study.Competing interestsThe authors declare no competing financial interests.

Dataset Information

Evaluation of dose-area product of common radiographic examinations towards establishing a preliminary diagnostic reference levels (PDRLs) in Southwestern Nigeria.

Publications

Evaluation of dose-area product of common radiographic examinations towards establishing a preliminary diagnostic reference levels (PDRLs) in Southwestern Nigeria.

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